Evidence map›Paper›PMID 40809995›Full record

ArticleJournal of experimental orthopaedics2025

A non-interventional study to evaluate the safety and effectiveness of a biphasic, chondrocyte-containing biomaterial (NOVOCART® 3D) in the treatment of localized full-thickness cartilage defects or osteochondral lesions of the knee joint (NISANIK).

Julia Elisabeth Lenz, Johannes Weber, Johannes Zellner, Gerald Zimmermann, Peter E Müller, Alexander Barié, Dominik Popp, Sven Ostermeier, Tilmann Krackhardt, Julian Mehl and 2 more

Abstract read
In one paragraph

Article in Journal of experimental orthopaedics, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

2 citing papers in PubMed.

  1. Review
  2. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

12 authors.

Julia Elisabeth LenzDepartment of Trauma Surgery University Medical Center Regensburg Regensburg Germany.ORCID https://orcid.org/0000-0001-5890-3489
Johannes WeberDepartment of Trauma Surgery University Medical Center Regensburg Regensburg Germany.
Johannes ZellnerSporthopaedicum Regensburg Straubing Germany.
Gerald ZimmermannDepartment of Trauma Surgery Theresienkrankenhaus Mannheim Germany.
Peter E MüllerDepartment of Orthopaedics and Trauma Surgery, Musculoskeletal University Center Munich (MUM), University Hospital LMU Munich Munich Germany.
Alexander BariéDepartment of Sports Orthopaedics and Sports Traumatology University Hospital Heidelberg Heidelberg Germany.
Dominik PoppDepartment of Orthopaedics and Trauma Surgery, Sozialstiftung Bamberg Klinikum am Bruderwald Bamberg Germany.
Sven OstermeierGelenk-Klinik Gundelfingen Orthopaedic Clinic Gundelfingen Germany.
Tilmann KrackhardtLubinus Clinicum Kiel Germany.
Julian MehlDepartment of Sports Orthopaedics, TUM-Universitätsklinikum Klinikum rechts der Isar Munich Germany.
Volker AltDepartment of Trauma Surgery University Medical Center Regensburg Regensburg Germany.
Peter AngeleDepartment of Trauma Surgery University Medical Center Regensburg Regensburg Germany.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Purpose: The focus of this study was to evaluate the safety and efficacy of NOVOCART® 3D-treatment over a period of 36 months post-transplantation. Methods: This study was designed as a prospective, multicenter, single-arm, non-interventional investigation, aimed at evaluating the safety and efficacy of NOVOCART® 3D in patients with localized cartilage defects in the knee joint. 80 patients were enroled across 8 study centres and were followed post-operatively for a duration of 36 months. Safety assessments were conducted throughout the study period, while effectiveness data were evaluated pre-operatively and at 3, 12, 18, 24, and 36 months following cell transplantation, utilizing the International Knee Documentation Committee 2000 score (IKDC 2000). Results: Over the 3-year observation period among the 80 study patients, the incidence of surgery or product-related adverse events stood at 12.5%. Subjective scores according to IKDC 2000 demonstrated improvement, with a mean change from baseline of 30.5 ± 21.5 score points at 36 months. Similarly, the mean IKDC function score exhibited continuous enhancement, with a mean difference of 3.2 ± 3.0 score points. These changes from baseline were associated with nominally significant Conclusion: The NISANIK study indicates the safety of NOVOCART® 3D treatment. Regarding effectiveness, patients in the study demonstrated a notable and progressively increasing mean improvement compared to their pre-operative condition. The study furthermore demonstrated that NOVOCART® is universally applicable across all age groups and Body Mass Index ranges, and it can also be effectively used in patients with female sex, larger lesions, retro-patellar lesions and in such having received bone-grafting without compromising the outcome, unlike related procedures. Level of Evidence: Level II, therapeutic, prospective cohort study.

Indexed as

cartilage defectchondrocyteMACTmatrix‐associated autologous chondrocyte transplantationosteochondral lesiontransplant

Identifiers

PMID40809995
PMCPMC12344510

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.